| • Primary goal: Reduction of lower eyelid bulging without fat removal
• Secondary goals: Avoidance of short or long-term hollowness
• Anesthesia: Local anesthesia with oral or intravenous sedation
• Operative technique: Tissue-Sparing Lower Blepharoplasty - Technique
• Variations: A number of variations have been proposed, including use of a conjunctival (rather than skin) incision and use of the orbital septal (rather than the capsulopalpebral fascia) to repair the fat hernia. We have tried all variations and prefer a skin approach with repair of the fat hernia using the capsulopalpebral fascia rather than the orbital septum.
• Advantages: Still theoretical rather than proven. See the following table:  Tissue-Sparing Lower Blepharoplasty - A Comparison (Premium Edition only)
• Risks and complications: As in Chapter 28: Eyelid Surgery Risks and Complications (preview available).
• Comment: Although not free of potential serious problems including eyelid retraction, lower eyelid tissue-sparing may pan out as an alternative approach to the now conventional methods of . . . |
